26 CAR § 351-109. Application for relief

The Secretary of the Department of Public Safety or their designee may include the following on an application for relief: (1) Any and all records sufficient to document need as described in 26 CAR § 351-108(a), including any documentation or other factors that establish the family’s hardship; (2) Current paystubs, tax returns, or W-2 forms as proof of the salary of the officer; (3) Certification from the officer’s employer that he or she was an active employee in good standing with the agency at the time of his or her death or diagnosis; (4) If the applicant is not a terminally ill law enforcement officer, proof of the relationship between the applicant seeking relief and the deceased or terminally ill law enforcement officer; (5) If the applicant is a terminally ill law enforcement officer, medical records reflecting the: (A) Diagnosis; (B) Prognosis, including the likelihood of recovery or survival; and (C) Symptoms that impact their daily life; (6) Records reflecting other forms of income or assets available to the family, including, but not limited to: (A) Real property; (B) Whether the officer or any family/household member is the beneficiary to a trust; (C) Investment income; (D) Pensions; (E) Annuity payments; (F) Child support; (G) Income earned by other family members; (H) Long-term care insurance benefits; or (I) Life insurance benefits; and (7) Any other information or records the secretary determines might be necessary to establish the need of the officer or their family for a grant to be issued under this program.